KRISTY R. KENNEDY MD, LLC


Address: 1101 S College Rd, Suite 202, Lafayette, LA 70503-3038
Phone: 3372356886

KRISTY R. KENNEDY MD, LLC (NPI# 1801142906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801142906
Entity Type Organization
Organization Name KRISTY R. KENNEDY MD, LLC
Practice Address 1101 S College Rd
Suite 202
Lafayette
LA 70503-3038
Mailing Address 119 Beverly Dr
Lafayette
LA 70503-3105
Practice Telephone 3372356886
Enumeration Date 2012-07-26
Last Update Date 2012-07-26
Authorized Official Name DR. KRISTY KENNEDY (OWNER)
Authorized Official Telephone 9016742525
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
MD.204714 LA Ambulatory Health Care Facilities

Office Location

Street Address 1101 S COLLEGE RD
SUITE 202
City LAFAYETTE
State LA
Zip Code 70503-3038

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447249800 Jatinder P Ahluwalia Internal Medicine 1101 S College Rd, Lafayette, LA 70503-3038 2005-10-18
1063896447 Carla Ann Vidrine Nurse Practitioner 1101 S College Rd, Suite 206, Lafayette, LA 70503-3038 2015-07-15
1912326406 Alison Trappey Penton Md, LLC Dermatology 1101 S College Rd, Lafayette, LA 70503-3038 2014-04-10
1962834408 Scarlett Ordalie Hebert Nurse Practitioner 1101 S College Rd, Suite 400, Lafayette, LA 70503-3038 2013-08-07
1700182839 Peak Medical Partners, LLC Family Medicine 1101 S College Rd, Suite 206, Lafayette, LA 70503-3038 2011-02-08
1922314608 Ashley Ramsey Physician Assistant 1101 S College Rd, Suite 201, Lafayette, LA 70503-3038 2010-08-19
1902058563 Acadiana Health Alliance, LLC. Case Management 1101 S College Rd, Suite 101, Lafayette, LA 70503-3038 2008-10-15
1124207204 Diane Guidry Deblanc Registered Nurse 1101 S College Rd, Suite 400, Lafayette, LA 70503-3038 2007-10-25
1710184965 The Bond Group, LLC Family Medicine 1101 S College Rd, Suite 201, Lafayette, LA 70503-3038 2007-06-29
1225247455 Bradley Michael Blappert Internal Medicine 1101 S College Rd, Suite 206, Lafayette, LA 70503-3038 2007-05-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962024620 The Carpenter Center for Palliative Medicine of Lafayette, LLC General Acute Care Hospital 923 West Pinhook Road, Lafayette, LA 70503 2020-05-15
1326679143 Elisabeth Robertson Speech-Language Pathologist 227b Bendel Rd., Ste. C, Lafayette, LA 70503 2020-01-30
1497391973 Solvet Services LLC Durable Medical Equipment & Medical Supplies 345 Doucet Rd., Suite 212, Lafayette, LA 70503 2019-11-20
1023654712 Louisiana Cardiac Vascular and Pulmonary Rehab LLC Registered Nurse 2701 Johnston Street, Ste 100, Lafayette, LA 70503 2019-11-18
1972147346 Ryan Christopher Winters Counselor 143 Ridgeway Dr., Lafayette, LA 70503 2019-10-29
1861046112 Lafayette General Medical Center Inc General Acute Care Hospital 1213 Coolidge Street, Lafayette, LA 70503 2019-07-25
1770041295 Karen R Rue Registered Nurse 1001 W. Pinhook Rd, Bldg #3, Ste. 212, Lafayette, La, LA 70503 2019-03-04
1235601766 Frances Chauvin, Dds, LLC Dentist 229 Bendel Rd., Lafayette, LA 70503 2018-12-21
1710456116 Affordable Caregivers, Inc. In Home Supportive Care 515 South College Rd., Suite 125, Lafeyette, LA 70503 2018-11-15
1366911778 Taylor Callais-rusich Counselor 142 Ridgeway Dr., 201, Lafayette, LA 70503 2018-11-14
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922655422 Boulder Community Health Clinic/Center 1000 W South Boulder Rd Ste 216, Lafayette, CO 80026-2089 2019-08-20
1679120182 Boulder Community Health Clinic/Center 1000 W South Boulder Rd Ste 110c, Lafayette, CO 80026-2753 2019-08-20
1457907230 Boulder Community Health Clinic/Center 1000 W South Boulder Rd Ste 110b, Lafayette, CO 80026-2753 2019-08-16
1982141206 Mei Lee Fleming Optometry Clinic/Center 3444 Mt Diablo Blvd, Lafayette, CA 94549-3912 2017-01-24
1508227604 Acadiana Allergy, Asthma and Immunology Center, LLC Clinic/Center 300 Rue Beauregard Ste F, Lafayette, LA 70508 2016-03-16
1528331089 Our Lady of Lourdes Regional Clinic/Center 227 Bendel Rd, Suite A, Lafayette, LA 70503-2922 2012-02-14
1215172523 Colorado Back and Spine Center Clinic/Center 380 Empire Rd, Suite 101, Lafayette, CO 80026-2677 2008-12-16
1851581896 Our Lady of Lourdes Regional Medical Center Clinic/Center 3220 Kaliste Saloom Rd, Lafayette, LA 70508-7422 2007-07-26
1548467640 The Spine Worx LLC Clinic/Center 983 S Creasy Ln, Lafayette, IN 47905-4800 2007-07-02
1770681728 Douglas L. Abadco, Md, Apmc Clinic/Center 4540 Ambassador Caffery Pkwy, Suite C-130, Lafayette, LA 70508-6928 2006-09-20
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Competitor

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City LAFAYETTE
Zip Code 70503

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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